December Reproductive Health Literacy Training (Arabic)
Event Timing: December 2023, 11:00am-1:00pm
Event Location: Zoom 
Contact us at: ‪(916) 678-0838‬  or lmachta@hs.uci.edu
*Note: You will receive the zoom link via email/text after you register for the event. 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
How old are you? *
How many children do you have? *
Email *
Phone # *
I would like to register for *
Yes
No
Cervical Cancer session on December 6th, 2023
Family Planning Session on December 13th, 2023
Maternal Health Session on December 20th, 2023
Did someone help with filling out the registration form?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy